Social Networks Moderate the Syndemic Effect of Psychosocial and Structural Factors on HIV Risk Among Young Black Transgender Women and Men who have Sex with Men

The interaction between the cumulative effect of psychosocial and structural factors (i.e. syndemic effect) and social networks among young Black transgender women and men who have sex with men (YBTM) remains understudied. A representative cohort of 16–29 year-old YBTM (n = 618) was assessed for syn...

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Vydáno v:	AIDS and behavior Ročník 24; číslo 1; s. 192 - 205
Hlavní autoři:	Teixeira da Silva, Daniel, Bouris, Alida, Voisin, Dexter, Hotton, Anna, Brewer, Russell, Schneider, John
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	New York Springer US 01.01.2020 Springer Nature B.V
Témata:	Adolescent Adult African Continental Ancestry Group - psychology Aggression Anal intercourse Anal sex Child & adolescent mental health Cohort Studies Female Gays & lesbians Health Psychology Health risks HIV HIV Infections - ethnology HIV Infections - prevention & control HIV Infections - psychology Homosexuality, Male - psychology Homosexuality, Male - statistics & numerical data Human immunodeficiency virus Humans Incidence Infections Infectious Diseases LGBTQ people Male Medicine Medicine & Public Health Men Men who have sex with men Mens health Mental depression Original Paper Population Surveillance Poverty Psychological Theory Psychosocial factors Public Health Risk factors Sex Sexual Behavior - ethnology Sexual Behavior - statistics & numerical data Sexually transmitted diseases Social factors Social interactions Social justice Social Networking Social networks Social organization STD Stress, Psychological Substance abuse Substance use Syndemic Transgender persons Transgender Persons - psychology Unsafe Sex Violence Women Womens health Young Adult Transgender women Black HIV MSM Syndemic
ISSN:	1090-7165, 1573-3254, 1573-3254
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Shrnutí:	The interaction between the cumulative effect of psychosocial and structural factors (i.e. syndemic effect) and social networks among young Black transgender women and men who have sex with men (YBTM) remains understudied. A representative cohort of 16–29 year-old YBTM (n = 618) was assessed for syndemic factors [i.e. substance use; community violence; depression; poverty; justice system involvement (JSI)], social network characteristics, condomless anal sex (CAS), group sex (GS), and HIV-infection. The syndemic index significantly increased the odds of CAS, GS, and HIV-infection, and these effects were moderated by network characteristics. Network JSI buffered the effect on CAS, romantic network members buffered the effect on GS, and network age and proportion of family network members buffered the effect on HIV-infection. The proportion of friend network members augmented the effect on GS and HIV-infection. Future research to prevent HIV among YBTM should consider social network approaches that target both structural and psychosocial syndemic factors.
Bibliografie:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23
ISSN:	1090-7165 1573-3254 1573-3254
DOI:	10.1007/s10461-019-02575-9